| NPI | 1932169182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MT 12341) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: MT 12341) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL 1336999) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-09-21 |